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Carrfour, Inc. (2) ..... "... ~ ,-. " CIty of Miami Beach 0fIlce of the CIty Clerk 1700 Convention Center Drive, Miami Beach, Fl33139 Emall: dtyderk@d.mlaml-beach.ft.us LOBBYIST REGISTRATION FORM G .. (aty of Miami Beach, CIty Code OIapter 2, DMsIon 3, Section 2-481) 65 Check Box If an Amendment DOUGHERTY NAME OF LOBBYIST: (last) LUCIA (First) A. (M.I) DATE QUAUFIED AS LOBBYIST Greenber~ Trauri~. P.A. 1221 Brickell Avenue. Miami. F1nr1da 33131 BUSINESS ADDRESS: (Number and Street) (CIty) (State) (Zip Code) 305-579-0500 305-579-0717 dou~hertvl@~tlaw.com TELEPHONE NUMBER: FAX NUMBER: EMAIL: L LOBBYJS1' RETAINED BY: CARRFOUR, INC. NAME OF PRlNOPAlJOlENT: 155 South Miami Avenue BUSINESS ADDRESS: (Number and Street) # 1150 Miami. Florida 33131 (CIty) (State) (Zip Code) TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional) FIll out this RCtIon If prlndpalls 8 CorponItIon, Partnenhlp or TrUll: [5ecIIon 2-482 (e)] ? NAME OF CHIEF OFFICER, PARTNER, OR BENEFIOARY: ? UST ALL PERSONS HOLDING, DIRECTlY OR INDIRECfLY, A S% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: Do SPECIFIC LOBBY ISSUE: Room size variance of existing hotel Issue to be lobbied (Describe In detail): m. aTY AGENClES/lNDIVlDUAlS TO BE LOBBIED: A) Fun N_ fIIlndIvlcIuBl/11tle B) Reletlonllllp see attached . .. ..... r-. ,-., IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYISr COMPENSATION (DISCI OSE WHETHER HOURl Y, FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE: $425.00 per hour B) PRINOPAL'S.oISCLOSURE (OF LOBBYIST COMPENSATION): $425.00 per hour V. SIGNATURE UNDIR OAtH: ON OCTOBER 181' OF EAOt YEAR. EAOt LOBBYIST SHALL SUBMIT TO 11fE C11Y a.ERK A SIGNED STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES IN THE C11Y OF MIAMI BEAOI FOR THE PRECEDING CALENDAR YEAR. I do solemnly swear that all of the forego!ng facts are true and correct and that I have read or am familiar with the prOVisions contained in Sect! -482 of the Miami Beach City Code as amended, and all reporting requirements. Signature of Lobbyist: ~"- MICHAEL COX Signature of Prindpal/Olent: VI. LOBBYISr IDEN11FICA11ON: ~ .e! Produced ID Form of Identification ~ Personally Known (Lucia A. Dougherty) VB. SIGNATURE AND $lAMP OF NOTARY OR DEPUTY a.ERK: State of Florida, Cou~Of Miami-Dade Sworn tnDd subscri before me This 7" day of v h-L . 2002. LiYLAM SALAS NOrARYPllBLIC Sf ATE OF COMMISSION NO. 0 no stamp or type name of Notary Public MYCOMMlS5loN EXP. SEPT 24.2005 FOR a.ERK"S USE ONLY Registration: [] ACCEPTED [] REJECTED DATE: If rejected, state reason: Registration fee paid: [ ] Yes [ ] No [ ] Cash [ ] Check MCR # DATA ENTRY DATE: I .2002 ENTERED BY: I First Revlslon - 05/17/02 ~ r" Mayor David Dermer Connnissioner Matti Herrera Bower Commissioner Simon Cruz Connnissioner Luis R. Garcia, Jr. Commissioner Saul Gross Connnissioner Jose Smith Commissioner Richard Steinberg Jorge M. Gonzalez, City Manager Mayra Diaz-Buttacavoli, Assistant City Manager Christina Cuervo, Assistant City Manager Robert Middaugh, Assistant City Manger Mary Greenwood, Executive Assistant to the City Manager Ramiro lnguanzo, Chief of Staff Tim Hemstreet. Special Assistant to the City Manager Murray Dubbin, City Attorney Donald Papy. Chief Deputy City Attorney Code Compliance Division AI Childress, Division Director Eric Wardle, Jr., Assistant Division Director 305-673-7000 exl. 6787 Kristal Caron, Office Manger Fire Department Floyd Jordan. Fire Chief Planning and Zoning Department Jorge Gomez, Director William H. Cary, Director Design, Preservation and Neighborhood Planning Division Armando Valdes, Planning and Zoning Manager Thomas R. Mooney, AICP, Design and Preservation Manager Steven Green, Office Manager Chuck Taft. Boards Administrator April Hirsch, Secretaty to the Board of Adjustment Juan Diaz, Planning Technician Antonieta Stohl. Receptionist Permit Review Process Ricardo Guzman, Planner, Planning & Zoning Kevin Perkins, Planner, Planning & Zoning Marija Surev, Planner, Planning & Zoning Christopher Dunn, Planner, Planning & Zoning Mark Sean Finnen, Planner, Planning & Zoning PlaMing Board Mercy Lamazares, Sr. Planner Stephen Foren. Sr. Planner, Planning & Zoning Board of At/justment Armando Valdes, Planning and Zoning Manager April Hirsch, Secretary to the Board of Adjustment Historic Preservation Thomas R. Mooney, AICP. Design and Preservation Manager Shannon Anderton, Sr. Planner, Design & Preservation Design Review Board Thomas R. Mooney, AICP, Design and Preservation Manager Laura Quenelle, Sr. Planner. Design & Preservation Neighborhood Planning Joyce Meyers, North Beach Planning Coordinator Reuben Caldwell. Planner, Design & Preservation Charles Buckles, Sr. Plans Designer Katia Hirsh, Planner Public Works Fred Beckmann, Director ""'" /"'" ---. _. . , , . Michael Alvarez. Assistant Director Engineering and Construction Division Environmental Resource Division Bruce Henderson, Environmental Specialist Streel!l and Streetlights Division Transportation and Concurrency Management Joseph JOMson, Director Amelia Johnson, Transportation Coordinator Henry Johnson, Senior Planner, Debra Hart. Office Associate Water and Sewer Uivision Nathan Pope, Water and Sewer Utilities Superintendent John Kranick. Streets, Streetlighting and Stonnwater Superintendnet A.D.A. Compliance Heidi Johnson-Wright, ADA Coordinator Building Department Phil Azan. Building Director Hamid Dolikhani, Assistant Director Richard McConachie, Chief Building Inspector Jeri Dee Goodkin. Senior Building Inspector Permit Counter Evelyn H. Sanchez, Office Associate IV Electrical Gary Ortega. Chief Elechicallnspeclor Plumbing Paul Elledge. Chief Plumbing Inspector Structural Mohammed Partovi. Chief Structural Plans Processor Mec/ul1lical Paul Raymond. Chief Mechanical Inspector Microfilm/Storage Ornar Castellanos, Building Records Manager Elevators John Antona. Chief Elevator Inspector Accessibility Gladys Salas, Chief Accessibility Inspector